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Overexpression of Phospholipase A2 Group IIA in Esophageal Squamous Cell Carcinoma and Association with Cyclooxygenase-2 Expression

  • Zhai, Yan-Chun (Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University) ;
  • Dong, Bin (Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Central Laboratory, Peking University Cancer Hospital & Institute) ;
  • Wei, Wen-Qiang (Department of Cancer Epidemiology, Cancer Institute, Peking Union Medical College, Chinese Academy of Medical Science) ;
  • He, Yan (Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University) ;
  • Li, Xin-Qing (Department of Cancer Epidemiology, Cancer Institute, Peking Union Medical College, Chinese Academy of Medical Science) ;
  • Cormier, Robert T. (Department of Biomedical Sciences, University of Minnesota Medical School Duluth) ;
  • Wang, Wei (Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University) ;
  • Liu, Fen (Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University)
  • Published : 2014.11.28

Abstract

Background: Esophageal cancer is one of the most frequently occurring malignancies and the seventh leading cause of cancer-related deaths in the world. The esophageal squamous cell carcinoma (ESCC) is the most common histological type of esophageal cancer worldwide. Materials and Methods: Our goal in this study was to detect phospholipase A2 Group IIA (PLA2G2A) and cyclooxygenase-2 (COX-2) immuno-expression in ESCC in a high-risk population in China. Results: Positive expression of PLA2G2A protein was observed in 57.2% (166/290) of the cases, while COX-2 was found in 257 of 290 samples (88.6%), both PLA2G2A and COX-2 being expressed in 153 cases (52.8%), with a significant agreement (Kappa=0.091, p=0.031).Overexpression of PLA2G2A was significantly correlated with the depth of invasion (p=0.001). Co-expression of PLA2G2A and COX-2 not only significantly correlated with the depth of invasion (p=0.004) but also with TNM stage (p=0.04). Conclusions: Our results showed that in patients with ESCC, PLA2G2A overexpression and PLA2G2A co-expression with COX-2 is significantly correlated with advanced stage. The biological role and pathophysiologic regulation of PLA2G2A and COX-2 overexpression in ESCC deserve further investigation.

Keywords

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